|
Expose art endoprosth iliac 34820
|
$1,812.80 |
$1,812.80 |
$1,812.80 |
$1,812.80
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$885.60 |
$885.60 |
$885.60 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$828.00 |
$828.00 |
$828.00 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$57.60 |
$57.60 |
$57.60 |
$57.00
|
|
Ext ecg>48hr<7d scan a/r
|
$387.21 |
$387.21 |
$387.21 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$535.20 |
$535.20 |
$535.20 |
$789.60
|
|
Ext ecg>7d<15d rev&interpj
|
$63.20 |
$63.20 |
$63.20 |
$57.75
|
|
Ext ecg>7d<15d scan a/r
|
$425.60 |
$425.60 |
$425.60 |
$345.60
|
|
Extended culture of oocytes
|
$157.60 |
$157.60 |
$157.60 |
$892.77
|
|
Extended visual field xm
|
$139.20 |
$139.20 |
$139.20 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$5,339.00
|
|
Extensive hand surgery
|
$2,621.60 |
$2,621.60 |
$2,621.60 |
$4,350.00
|
|
Extensive mastoid surgery
|
$6,046.40 |
$6,046.40 |
$6,046.40 |
$7,000.36
|
|
Extensive mastoid surgery
|
$8,120.00 |
$8,120.00 |
$8,120.00 |
$7,000.36
|
|
Extensive prostate surgery
|
$4,457.60 |
$4,457.60 |
$4,457.60 |
$4,457.60
|
|
Extensive prostate surgery
|
$2,956.80 |
$2,956.80 |
$2,956.80 |
$2,956.80
|
|
Extensive prostate surgery
|
$2,957.60 |
$2,957.60 |
$2,957.60 |
$1,771.20
|
|
Extensive prostate surgery
|
$3,444.80 |
$3,444.80 |
$3,444.80 |
$3,444.80
|
|
Extensive removal of liver
|
$8,414.40 |
$8,414.40 |
$8,414.40 |
$8,414.40
|
|
Extensive surgery of throat
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$7,000.36
|
|
Extensive surgery of throat
|
$3,425.60 |
$3,425.60 |
$3,425.60 |
$6,547.81
|
|
Extensive testis surgery
|
$3,758.40 |
$3,758.40 |
$3,758.40 |
$4,081.37
|
|
Extensive thyroid surgery
|
$4,126.40 |
$4,126.40 |
$4,126.40 |
$3,233.40
|
|
Extensive vulva surgery
|
$3,468.80 |
$3,468.80 |
$3,468.80 |
$3,468.80
|
|
External cannula declotting
|
$596.80 |
$596.80 |
$596.80 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$363.20 |
$363.20 |
$363.20 |
$415.01
|
|
External newborn metabolic screening panel
|
$157.60 |
$157.60 |
$157.60 |
$109.76
|
|
External ocular photography
|
$49.60 |
$49.60 |
$49.60 |
$86.03
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$164.99 |
$164.99 |
$164.99 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$7,746.40 |
$7,746.40 |
$7,746.40 |
$4,306.29
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$360.80 |
$360.80 |
$360.80 |
$457.07
|
|
Extnd color vision xm
|
$107.20 |
$107.20 |
$107.20 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$48.57 |
$48.57 |
$48.57 |
$109.00
|
|
Extraction of lens
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
$4,396.50
|
|
Extraction of lens
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$2,698.92
|
|
Extraction of lens 66920
|
$3,737.60 |
$3,737.60 |
$3,737.60 |
$3,737.60
|
|
Extrnl counterpulse, per tx
|
$245.60 |
$245.60 |
$245.60 |
$431.60
|
|
Eye allergy tests
|
$104.00 |
$104.00 |
$104.00 |
$142.80
|
|
Eye photodynamic ther add-on
|
$74.40 |
$74.40 |
$74.40 |
$821.60
|
|
Eye Socket (Orbit) X-ray
|
$393.03 |
$393.03 |
$393.03 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,580.84 |
$1,580.84 |
$1,580.84 |
$1,707.60
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,543.00 |
$1,543.00 |
$1,543.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,301.36 |
$1,301.36 |
$1,301.36 |
$1,318.20
|
|
Eye surgery follow-up add-on
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
$1,914.01
|
|
Eye suture during surgery
|
$739.20 |
$739.20 |
$739.20 |
$1,612.80
|
|
Ezh2 gene full gene sequence
|
$271.57 |
$271.57 |
$271.57 |
$321.60
|
|
F-18 fdg pet diag
|
$431.61 |
$431.61 |
$431.61 |
$551.72
|
|
F9 full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,200.00
|
|
Face bone graft
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,134.04 |
$4,134.04 |
$4,134.04 |
$2,830.10
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,781.72 |
$1,781.72 |
$1,781.72 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$221.27 |
$221.27 |
$221.27 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$439.62 |
$439.62 |
$439.62 |
$381.75
|
|
Facial nerve function test
|
$148.00 |
$148.00 |
$148.00 |
$368.50
|
|
Factor ix
|
$95.72 |
$95.72 |
$95.72 |
$162.00
|
|
Factor viii
|
$39.20 |
$39.20 |
$39.20 |
$145.50
|
|
Factor viii recombinant nos
|
$2.40 |
$2.40 |
$2.40 |
$5.20
|
|
Factor xiii anti-hem factor
|
$10.40 |
$10.40 |
$10.40 |
$23.98
|
|
Fallopian tube recnl
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$3,744.41
|
|
Family therapy without pt 50min 90846
|
$230.40 |
$230.40 |
$230.40 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$239.20 |
$239.20 |
$239.20 |
$231.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.76 |
$1.76 |
$1.76 |
$22.20
|
|
Fancc gene
|
$127.86 |
$127.86 |
$127.86 |
$140.00
|
|
Fasciotomy hip/thigh any typ
|
$4,512.00 |
$4,512.00 |
$4,512.00 |
$3,342.87
|
|
Fat/lipids feces qualitative
|
$33.57 |
$33.57 |
$33.57 |
$34.56
|
|
Fatty acids nonesterified
|
$64.28 |
$64.28 |
$64.28 |
$72.44
|
|
Fecal bilirubin test
|
$12.00 |
$12.00 |
$12.00 |
$8.45
|
|
Fecal microbiota prep instil
|
$499.78 |
$499.78 |
$499.78 |
$1,009.14
|
|
#fecal-sodium
|
$33.57 |
$33.57 |
$33.57 |
$37.50
|
|
Feeding tube reposition
|
$295.20 |
$295.20 |
$295.20 |
$528.82
|
|
Fees w/laryngeal sense i&r
|
$92.80 |
$92.80 |
$92.80 |
$174.72
|
|
Fees w/laryngeal sense test
|
$471.20 |
$471.20 |
$471.20 |
$457.50
|
|
Felbamate (felbatol(r)) - sendout
|
$66.43 |
$66.43 |
$66.43 |
$66.43
|
|
Fem/popl revasc w/stent
|
$48,569.60 |
$48,569.60 |
$48,569.60 |
$16,782.48
|
|
Feno poc
|
$58.40 |
$58.40 |
$58.40 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$73.40 |
$73.40 |
$73.40 |
$101.40
|
|
Fern test
|
$56.44 |
$56.44 |
$56.44 |
$34.45
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3.24 |
$3.24 |
$3.24 |
$2,590.25
|
|
Ferritin
|
$64.28 |
$64.28 |
$64.28 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2.46 |
$2.46 |
$2.46 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$503.67 |
$503.67 |
$503.67 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$869.12
|
|
Fetal chrom aneuploidy gsa panel
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,195.80
|
|
Fetal contract stress test 59020 - 26
|
$324.12 |
$324.12 |
$324.12 |
$477.50
|
|
Fetal cord puncture prenatal
|
$488.00 |
$488.00 |
$488.00 |
$648.90
|
|
Fetal fibronectin
|
$291.41 |
$291.41 |
$291.41 |
$389.95
|
|
Fetal fluid drainage w/us
|
$932.80 |
$932.80 |
$932.80 |
$592.48
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.57 |
$33.57 |
$33.57 |
$101.20
|
|
Fetal hemoglobin rosette
|
$33.57 |
$33.57 |
$33.57 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$64.28 |
$64.28 |
$64.28 |
$67.00
|
|
Fetal monitor/interpret only
|
$102.40 |
$102.40 |
$102.40 |
$102.40
|
|
Fetal monitor w/report
|
$123.20 |
$123.20 |
$123.20 |
$295.50
|
|
Fetal non stress test
|
$324.12 |
$324.12 |
$324.12 |
$478.50
|
|
Fetal scalp blood sampling 59030
|
$272.80 |
$272.80 |
$272.80 |
$359.97
|
|
Fetal shunt placement w/us
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$72.14 |
$72.14 |
$72.14 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$32.85 |
$32.85 |
$32.85 |
$120.05
|
|
Fibrin degradation products
|
$32.85 |
$32.85 |
$32.85 |
$74.25
|
|
Fibrin degrade semiquant
|
$32.85 |
$32.85 |
$32.85 |
$81.00
|
